Individual
MRS. CORALLEE ELIZABETH WEBER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
111 K ST NE, EPHRATA, WA 98823-1747
(253) 905-6761
(253) 231-3475
Mailing address
111 K ST NE, EPHRATA, WA 98823-1747
(253) 905-6761
(253) 231-3475
Taxonomy
Speciality
Code
Description
License number
State
175L00000X
Homeopath
MA00024666
WA
225700000X
Massage Therapist
Primary
MA00024666
WA
Other
Enumeration date
11/09/2007
Last updated
08/29/2022
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